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Organization
BENJAMIN L CHANG, DDS PS
Active
Organization
BENJAMIN L CHANG, DDS PS
Active
Other names
Greenlake Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN L CHANG DDS (PRESIDENT)
(206) 547-5647
Entity
Organization
Contact information
Practice address
4701 MIDVALE AVE N, SEATTLE, WA 98103-6641
(206) 547-5647
(206) 545-9291
Mailing address
4701 MIDVALE AVE N, SEATTLE, WA 98103-6641
(206) 547-5647
(206) 545-9291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE8374
WA
Other
Enumeration date
12/28/2006
Last updated
11/21/2014
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